Clinical and Immunological Features of Human BCL10 Deficiency

The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients h...

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Autores principales: Blanca Garcia-Solis, Ana Van Den Rym, Jareb J. Pérez-Caraballo, Abdulwahab Al–Ayoubi, Anas M. Alazami, Lazaro Lorenzo, Carolina Cubillos-Zapata, Eduardo López-Collazo, Antonio Pérez-Martínez, Luis M. Allende, Janet Markle, Miguel Fernández-Arquero, Silvia Sánchez-Ramón, Maria J. Recio, Jean-Laurent Casanova, Reem Mohammed, Rubén Martinez-Barricarte, Rebeca Pérez de Diego
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:8741b9bb80a4423bab400712dd1659fa2021-11-12T07:11:34ZClinical and Immunological Features of Human BCL10 Deficiency1664-322410.3389/fimmu.2021.786572https://doaj.org/article/8741b9bb80a4423bab400712dd1659fa2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.786572/fullhttps://doaj.org/toc/1664-3224The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients has prevented gaining detailed knowledge about this genetic disease. Only two patients with BCL10 deficiency have been reported to date. Here we provide an in-depth description of an additional patient with autosomal recessive complete BCL10 deficiency caused by a nonsense mutation that leads to a loss of expression (K63X). Using mass cytometry coupled with unsupervised clustering and machine learning computational methods, we obtained a thorough characterization of the consequences of BCL10 deficiency in different populations of leukocytes. We showed that in addition to the near absence of memory B and T cells previously reported, this patient displays a reduction in NK, γδT, Tregs, and TFH cells. The patient had recurrent respiratory infections since early childhood, and showed a family history of lethal severe infectious diseases. Fortunately, hematopoietic stem-cell transplantation (HSCT) cured her. Overall, this report highlights the importance of early genetic diagnosis for the management of BCL10 deficient patients and HSCT as the recommended treatment to cure this disease.Blanca Garcia-SolisBlanca Garcia-SolisBlanca Garcia-SolisAna Van Den RymAna Van Den RymAna Van Den RymJareb J. Pérez-CaraballoJareb J. Pérez-CaraballoAbdulwahab Al–AyoubiAnas M. AlazamiLazaro LorenzoCarolina Cubillos-ZapataCarolina Cubillos-ZapataEduardo López-CollazoAntonio Pérez-MartínezAntonio Pérez-MartínezLuis M. AllendeJanet MarkleJanet MarkleMiguel Fernández-ArqueroMiguel Fernández-ArqueroSilvia Sánchez-RamónSilvia Sánchez-RamónMaria J. RecioMaria J. RecioJean-Laurent CasanovaJean-Laurent CasanovaJean-Laurent CasanovaJean-Laurent CasanovaReem MohammedReem MohammedRubén Martinez-BarricarteRubén Martinez-BarricarteRebeca Pérez de DiegoRebeca Pérez de DiegoRebeca Pérez de DiegoFrontiers Media S.A.articleprimary immunodeficiencycombined immunodeficiencyBCL10autosomal recessivemass cytometrycomputational immunologyImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic primary immunodeficiency
combined immunodeficiency
BCL10
autosomal recessive
mass cytometry
computational immunology
Immunologic diseases. Allergy
RC581-607
spellingShingle primary immunodeficiency
combined immunodeficiency
BCL10
autosomal recessive
mass cytometry
computational immunology
Immunologic diseases. Allergy
RC581-607
Blanca Garcia-Solis
Blanca Garcia-Solis
Blanca Garcia-Solis
Ana Van Den Rym
Ana Van Den Rym
Ana Van Den Rym
Jareb J. Pérez-Caraballo
Jareb J. Pérez-Caraballo
Abdulwahab Al–Ayoubi
Anas M. Alazami
Lazaro Lorenzo
Carolina Cubillos-Zapata
Carolina Cubillos-Zapata
Eduardo López-Collazo
Antonio Pérez-Martínez
Antonio Pérez-Martínez
Luis M. Allende
Janet Markle
Janet Markle
Miguel Fernández-Arquero
Miguel Fernández-Arquero
Silvia Sánchez-Ramón
Silvia Sánchez-Ramón
Maria J. Recio
Maria J. Recio
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Reem Mohammed
Reem Mohammed
Rubén Martinez-Barricarte
Rubén Martinez-Barricarte
Rebeca Pérez de Diego
Rebeca Pérez de Diego
Rebeca Pérez de Diego
Clinical and Immunological Features of Human BCL10 Deficiency
description The CARD-BCL10-MALT1 (CBM) complex is critical for the proper assembly of human immune responses. The clinical and immunological consequences of deficiencies in some of its components such as CARD9, CARD11, and MALT1 have been elucidated in detail. However, the scarcity of BCL10 deficient patients has prevented gaining detailed knowledge about this genetic disease. Only two patients with BCL10 deficiency have been reported to date. Here we provide an in-depth description of an additional patient with autosomal recessive complete BCL10 deficiency caused by a nonsense mutation that leads to a loss of expression (K63X). Using mass cytometry coupled with unsupervised clustering and machine learning computational methods, we obtained a thorough characterization of the consequences of BCL10 deficiency in different populations of leukocytes. We showed that in addition to the near absence of memory B and T cells previously reported, this patient displays a reduction in NK, γδT, Tregs, and TFH cells. The patient had recurrent respiratory infections since early childhood, and showed a family history of lethal severe infectious diseases. Fortunately, hematopoietic stem-cell transplantation (HSCT) cured her. Overall, this report highlights the importance of early genetic diagnosis for the management of BCL10 deficient patients and HSCT as the recommended treatment to cure this disease.
format article
author Blanca Garcia-Solis
Blanca Garcia-Solis
Blanca Garcia-Solis
Ana Van Den Rym
Ana Van Den Rym
Ana Van Den Rym
Jareb J. Pérez-Caraballo
Jareb J. Pérez-Caraballo
Abdulwahab Al–Ayoubi
Anas M. Alazami
Lazaro Lorenzo
Carolina Cubillos-Zapata
Carolina Cubillos-Zapata
Eduardo López-Collazo
Antonio Pérez-Martínez
Antonio Pérez-Martínez
Luis M. Allende
Janet Markle
Janet Markle
Miguel Fernández-Arquero
Miguel Fernández-Arquero
Silvia Sánchez-Ramón
Silvia Sánchez-Ramón
Maria J. Recio
Maria J. Recio
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Reem Mohammed
Reem Mohammed
Rubén Martinez-Barricarte
Rubén Martinez-Barricarte
Rebeca Pérez de Diego
Rebeca Pérez de Diego
Rebeca Pérez de Diego
author_facet Blanca Garcia-Solis
Blanca Garcia-Solis
Blanca Garcia-Solis
Ana Van Den Rym
Ana Van Den Rym
Ana Van Den Rym
Jareb J. Pérez-Caraballo
Jareb J. Pérez-Caraballo
Abdulwahab Al–Ayoubi
Anas M. Alazami
Lazaro Lorenzo
Carolina Cubillos-Zapata
Carolina Cubillos-Zapata
Eduardo López-Collazo
Antonio Pérez-Martínez
Antonio Pérez-Martínez
Luis M. Allende
Janet Markle
Janet Markle
Miguel Fernández-Arquero
Miguel Fernández-Arquero
Silvia Sánchez-Ramón
Silvia Sánchez-Ramón
Maria J. Recio
Maria J. Recio
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Jean-Laurent Casanova
Reem Mohammed
Reem Mohammed
Rubén Martinez-Barricarte
Rubén Martinez-Barricarte
Rebeca Pérez de Diego
Rebeca Pérez de Diego
Rebeca Pérez de Diego
author_sort Blanca Garcia-Solis
title Clinical and Immunological Features of Human BCL10 Deficiency
title_short Clinical and Immunological Features of Human BCL10 Deficiency
title_full Clinical and Immunological Features of Human BCL10 Deficiency
title_fullStr Clinical and Immunological Features of Human BCL10 Deficiency
title_full_unstemmed Clinical and Immunological Features of Human BCL10 Deficiency
title_sort clinical and immunological features of human bcl10 deficiency
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/8741b9bb80a4423bab400712dd1659fa
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